en-USDepartment of Revenue Servicesen-US en-USState of Connecticuten-US en-USPO Box 2937en-US en-USHartford CT 06104-2937en-US(en-USRev. 12/18en-US)en-USForm REG-1en-USBusiness Taxes Registration Application 1. þ Reason for Filing Form REG-1 en-US(en-UScheck the applicable box)en-US:en-USen-USen-USOpening a new business including but not limited to: a. þ An existing out-of-state business opening a location in Connecticut or a remote seller (see instructions); þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ en-USor c. þ An existing out-of-state business having employees in Connecticut (including nonresident contractors and loan-out companies). en-USen-USMarketplace facilitator that collects and remits sales tax on behalf of marketplace sellers.en-USen-USOpening a new location. en-USEnter your Connecticut Tax Registration No:en-US þ en-USen-USen-USRegistering for additional taxes. en-USEnter your Connecticut Tax Registration No:en-US þ en-US en-USen-USen-USReopening a closed business.en-US en-USEnter Connecticut Tax Registration No. of the closed business:en-US þ en-USen-USen-USPurchasing an ongoing business. The buyer of an existing business may be responsible for tax liabilities of the previous owner. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ en-USportal.ct.gov/DRSen en-USEnter Connecticut Tax Registration No. of the previous owner:en-US þ en-USen-USen-USForming a business entity under Connecticut law or a non-Connecticut entity required to register with or to obtain aen-US þ þ þ þ þ þ þ þ þ þ þ þ þ þ en-US þ þ þ þ þ en-USen-USen-USChanging organization type. en-USEnter your current Connecticut Tax Registration No:en-US þ þ en-USExplain: þ þ en-USen-USen-USHousehold employer intending to withhold Connecticut income tax for housekeepers, nannies, caretakers, etc.en-USen-USen-USOther (explain); see instructions en-USWho Needs to Complete REG-1. þ 2. þ en-USType of Entityen-US þ en-US þ þ þ þ en-US þ C Corporation þ en-US þ þ þ þ þ þ þ en-US þ S Corporation en-US þ en-US þ þ þ þ þ þ þ en-US þ þ þ þ en-US þ en-US þ þ þ þ þ þ þ þ en-US þ þ þ þ þ þ þ þ en-US þ en-US þ þ þ þ þ þ þ þ en-US þ en-US þ Other (explain): þ 3. þ Nature of Business Activity en-US(cen-USheck the box(es) that best describe your business)en-US:en-USen-USen-US Retaileren-USen-US þ en-USen-USen-US Manufactureren-USen-USen-US Service provideren-USen-USen-US Other (explain): þ 4. þ Major Business Activity þ Describe your major business activities: þ þ þ þ þ 5. þ Business Name and Address en-USDRS use onlyen-US - Connecticut Tax Registration Number þ þ þ þ þ þ þ en-US þ þ þ þ en-USwww.census.gov/eos/www/naicsen-US þ þ þ þ en-US þ Sole proprietorship en-USen-USGeneral partnershipen-US þ þ þ en-US þ þ en-US þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ en-USTrade or 223doing business as224 name þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ en-US þ þ þ þ þ þ þ þ þ þ en-USPhysical address (PO Box not accepted) number and street þ þ en-USMailing address (if different from physical address) number and street or PO Box þ þ en-USBusiness telephone numberen-US( )en-USEmail addressen-USBusiness bank name American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 4Form REG-1 (Rev. 12/18) 7. þ Income Tax Withholding þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ en-US en-USto pay wages to resident employees or nonresident employees who work in Connecticut? þ. ................................. en-US þ Yes þ en-US þ No þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ en-US en-USfor this new location under that number, enter that number here and skip to Section 8; otherwise continue. þ þ Are you an out-of-state company voluntarily registering to withhold Connecticut en-US en-USincome tax for your Connecticut resident employees who work outside of Connecticut? þ. ...................................... en-US þ Yes þ en-US þ No þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ en-US en-USannuities, retirement distributions, or gambling winnings to Connecticut residents? þ. ............................................. en-US þ Yes þ en-US þ No þ Do you pay nonresident athletes or entertainers for services they render in Connecticut? þ. ................................... en-US þ Yes þ en-US þ No þ Do you only have household employees and wish to withhold Connecticut income tax? (see instructions) þ. .......... en-US þ Yes þ en-US þ No þ Do you only have agricultural employees and wish to withhold Connecticut income tax? þ. ..................................... en-US þ Yes þ en-US þ No þ en-USYes þ þ þ þ þ þ þ þ þ þ þ þ þ þ en-US þ þ þ þ en-USForm CT-941en-US, en-USConnecticut Quarterly Reconciliation of Withholdingen-US, annually? þ. ........................... en-US þ Yes þ en-US þ No þ þ þ en-USYesen-US to any of the income tax withholding questions, en-US en-USenter the daten-USe you will start withholding Connecticut income tax. en-US................................................ þ þ þ þ þ þ þ þ þ þ þ þ þ þ en-US / / þ m þ m þ d þ d þ y þ y þ y þ y þ þ þ þ þ þ þ þ en-US en-US Attach a separate sheet if needed. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ en-US en-US en-USm m d d y y y yen-US / /en-US( )en-US( )en-US( )en-US( )en-US( )en-US en-US en-USm m d d y y y yen-US / /en-US en-US en-USm m d d y y y yen-US / /en-US en-US en-USm m d d y y y yen-US / / þ þ þ þ en-USNumber and street þ þ þ þ þ þ þ þ þ þ en-USNumber and street þ þ þ þ þ þ þ þ þ þ en-USNumber and street þ þ þ þ þ þ þ þ þ þ en-USNumber and street þ þ þ þ þ þ American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 4Form REG-1 (Rev. 12/18) 8. þ Sales and Use Taxes þ en-USDo you sell, or will you be selling, goods in Connecticut (either wholesale or retail)? þ. ........................................... en-US þ Yes þ en-US þ No þ Do you rent equipment or other tangible personal property to individuals or businesses in Connecticut? þ. ............ en-US þ Yes þ en-US þ No þ Do you serve meals or beverages in Connecticut? þ. ................................................................................................ en-US þ Yes þ en-US þ No þ Do you provide a taxable service in Connecticut? For a list of taxable services, visit the DRS website at en-US en-USportal.ct.gov/DRSen-US to review en-USInformational Publication 2017(25)en-US, en-USGetting Started in Business. en-US........................en-US þ Yes þ en-US þ No þ Are all of your sales made through a marketplace facilitator that collects and remits sales tax for you? en-US þ. ............. en-US þ Yes þ en-US þ No þ þ þ þ en-USYesen-US to any of the sales and use taxes questions, en-US en-USenter the dateen-US you will start selling or leasing goods or taxable services. þ. .................................... 8a. þ Prepaid Wireless E 9-1-1 Fee þ Do you sell prepaid wireless services in Connecticut? en-US...........................................................................................en-US þ Yes þ en-US þ No þ þ þ en-USYesen-US, en-USenter the dateen-US you will start to sell these in Connecticut. þ. ........................... 9. þ Room Occupancy Tax - Do not complete this section if the room occupancy tax is collected and paid by a third party that is þ en-USregistered with DRS to collect the tax. þ Do you provide rooms for rent in a hotel, motel, lodging house, or bed and breakfast en-US en-USestablishment in Connecticut for 30 consecutive days or less? þ. ............................................................................. en-US þ Yes þ en-US þ No þ þ þ en-USYesen-US, en-USenter the dateen-US you will start to provide rooms for renten-US en-USfor lodging purposes in Connecticut. þ. .............................................................................................. 10. þ Business Entity Tax - en-US en-USDo not complete this section if the entity is liable for the corporation business tax. þ The business entity tax applies to all of the following business types formed under Connecticut law and to those non-Connecticut þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ en-USConnecticut Secretary of the State. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ 1. þ en-USTreated as a partnership if it has two or more members;